Normita Vicencio MD PC

NPI #1841493616 in Wayne, Michigan

Provider Information

NPI Number: 1841493616
Entity Type: Organization
Organization Name: Normita Vicencio MD PC
Primary Specialty: Internal Medicine
Enumeration Date: Jun 7, 2007
Last Updated: Oct 8, 2014

Practice Location

Address: 4020 VENOY RD STE 300
City: Wayne
State: Michigan
ZIP Code: 48184-1899
Phone: (734) 728-2909

Authorized Official

Name: DR. NORMITA VICENCIO, M.D.
Title: OWNER
Phone: (734) 728-2909

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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